A NEPHROLOGIST’S VIEW TO RENAL SAFETY OF BISPHOSPHONATES

A variety of renal diseases and electrolyte disorders may be associated with malignancy or its treatment. The spectrum of disease in this setting includes acute renal failure (ARF), chronic renal failure, and tubular disorders.Chemotherapeutic agents as well as non-chemotherapeutic drugs can affect...

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Main Author: Sevgi Şahin
Format: Article
Language:English
Published: Galenos Publishing House 2007-07-01
Series:European Journal of Breast Health
Subjects:
Online Access: http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/a-nephrologsts-vew-to-renal-safety-of-bsphosphonat/42661
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author Sevgi Şahin
author_facet Sevgi Şahin
author_sort Sevgi Şahin
collection DOAJ
description A variety of renal diseases and electrolyte disorders may be associated with malignancy or its treatment. The spectrum of disease in this setting includes acute renal failure (ARF), chronic renal failure, and tubular disorders.Chemotherapeutic agents as well as non-chemotherapeutic drugs can affect the glomerulus, tubules, interstitium or the renal microvasculature, with clinical manifestations that range from an asymptomatic elevation of serum creatinine to acute renal failure requiring dialysis. Fortunately, these complications are often preventable or reversible with prompt diagnosis and treatment.Bisphosphonates are a valuable class of non-chemotherapeutic drugs with potent anti-resorptive actions that make them ideal for treating metastatic bone disease. And they are widely used to treat skeletal complications of malignancy. Expanding indications for use in cancer patients warrant careful review of the renal toxicities associated with this medication class. In addition to their effi cacy, renal insuffi ciency during bisphosphonate therapy were reported. In considering its incidence rates and skeletal metastasis potential, breast cancer is particularly important for this subject.Renal failure remains an important complication of cancer and its treatment. The spectrum of cancer-associated renal disease has changed in the past 20 years, in large part as a result of the use of newer chemotherapy regimens. Early diagnosis and treatment of renal failure is vital—both to improve renal outcomes and to ensure that patients are best prepared for further oncologic treatment. Close cooperation with oncology colleagues is essential to improve outcomes in these complex patients.
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spelling doaj.art-e5e62a91b6444612a64b79432539c3012023-02-15T16:09:48ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312007-07-013312012413049054A NEPHROLOGIST’S VIEW TO RENAL SAFETY OF BISPHOSPHONATESSevgi Şahin0 SB Göztepe Eğitim ve Araştırma Hastanesi, Nefroloji Kliniği, istanbul, Türkiye A variety of renal diseases and electrolyte disorders may be associated with malignancy or its treatment. The spectrum of disease in this setting includes acute renal failure (ARF), chronic renal failure, and tubular disorders.Chemotherapeutic agents as well as non-chemotherapeutic drugs can affect the glomerulus, tubules, interstitium or the renal microvasculature, with clinical manifestations that range from an asymptomatic elevation of serum creatinine to acute renal failure requiring dialysis. Fortunately, these complications are often preventable or reversible with prompt diagnosis and treatment.Bisphosphonates are a valuable class of non-chemotherapeutic drugs with potent anti-resorptive actions that make them ideal for treating metastatic bone disease. And they are widely used to treat skeletal complications of malignancy. Expanding indications for use in cancer patients warrant careful review of the renal toxicities associated with this medication class. In addition to their effi cacy, renal insuffi ciency during bisphosphonate therapy were reported. In considering its incidence rates and skeletal metastasis potential, breast cancer is particularly important for this subject.Renal failure remains an important complication of cancer and its treatment. The spectrum of cancer-associated renal disease has changed in the past 20 years, in large part as a result of the use of newer chemotherapy regimens. Early diagnosis and treatment of renal failure is vital—both to improve renal outcomes and to ensure that patients are best prepared for further oncologic treatment. Close cooperation with oncology colleagues is essential to improve outcomes in these complex patients. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/a-nephrologsts-vew-to-renal-safety-of-bsphosphonat/42661 nephrotoxicitybisphosphonatesmalignancy
spellingShingle Sevgi Şahin
A NEPHROLOGIST’S VIEW TO RENAL SAFETY OF BISPHOSPHONATES
European Journal of Breast Health
nephrotoxicity
bisphosphonates
malignancy
title A NEPHROLOGIST’S VIEW TO RENAL SAFETY OF BISPHOSPHONATES
title_full A NEPHROLOGIST’S VIEW TO RENAL SAFETY OF BISPHOSPHONATES
title_fullStr A NEPHROLOGIST’S VIEW TO RENAL SAFETY OF BISPHOSPHONATES
title_full_unstemmed A NEPHROLOGIST’S VIEW TO RENAL SAFETY OF BISPHOSPHONATES
title_short A NEPHROLOGIST’S VIEW TO RENAL SAFETY OF BISPHOSPHONATES
title_sort nephrologist s view to renal safety of bisphosphonates
topic nephrotoxicity
bisphosphonates
malignancy
url http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/a-nephrologsts-vew-to-renal-safety-of-bsphosphonat/42661
work_keys_str_mv AT sevgisahin anephrologistsviewtorenalsafetyofbisphosphonates
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